Master the board step 3

Psychiatry
Substance
Alcohol
Amphetamines,
cocaine
Cannabis
Signs and Symptoms
of Intoxication
Talkative, sullen
gregarious, moody
Euphoria, hypervigilance,
autonomic
hyperactivity, weight
loss, pupil dilatation,
disturbed perception,
stroke, myocardial
infarction
Impaired motor
coordination, impaired
time perception,
social withdrawal,
increased appetite, dry
mouth, tachycardia,
conjunctival redness
Treatment of
Intoxication
Mechanical
ventilation if
severe
Short-term use of
antipsychotics,
benzodiazepines,
inderal, vitamin
C to promote
excretion
Signs and
Symptoms of
Withdrawal
Tremors,
hallucinations,
seizures, delirium
Anxiety, tremors,
headache,
increased
appetite,
depression, risk
of suicide
None None None
Treatment of
Withdrawal
Long-acting
benzo’s
No seizure
prophylaxis
Disulfiram or
naloxone for
adjunct to
supervised
therapy after
acute withdrawal
Antidepressants
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Basic Science Correlate
Cocaine blocks the reuptake of norepinephrine serotonin and dopamine,
while amphetamines induce the release of dopamine.
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